HomeMy WebLinkAbout5408 Copernicus Dr - Disclosures/Mechanical - 12/18/2006Fort Collins Residential Energy Code the building $ Zoning dept. of
MECHANICAL DISCLOSURE FORM Community Planning and Environmental Services
mowiscz. b -7n Nee 251 N. Colege Ave., P.O. Banc 580, Fort QAns. CO 60522
Voice: 970 2216760 FAX 970 224 0134
Job Address:' %l�C� l O �P Cc� -5 " - . ----..
General contractor:
Mechanical contractorDr�
INSTRUCTIONS
This disclosure form is to be signed by the mechanical contractor or representative of the general contractor.
Please type or print, except for the signature.
if there are multiple systems serving any function, make multiple entries to describe them
One copy of this form must be provided to the Building and Zoning Department prior to the C.O.
One copy of this form must be made available to the original home buyer.
A. Space heating system •
I I I I I input capacity AFUE or
B. Space cooling system .
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C. Water heating system
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F
ModN M
input capacity
tBhrh or kVY
Energy"
Factor
Storage
volume
Certification"
IANe certify that the above -listed equipment (Including ducts and piping) was installed In the building at the above locations
In conformance with the requirements of the Fort Collins Residential Energy Code and.Mechanical Code; and further, that
such equipment was installed In accokdance with manufacturers' instructions.